Remote RN Clinical Reviewer - Care & Denial Reviews

Maximus

Maximus is seeking a Clinical Reviewer in Tysons, VA to evaluate requests for services, ensure compliance with clinical and governmental requirements, and issue appropriate approvals or denials. The role involves documenting activities in contract systems and communicating with providers and state personnel.

Preferred candidates have remote-work experience, strong written and verbal communication skills, and familiarity with HCBS waivers.

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Vacancy posted 10 hours ago

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